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  5. SHAW CHIROPRACTIC LLC

SHAW CHIROPRACTIC LLC

Company Details

Entity Name: SHAW CHIROPRACTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jan 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Mar 2011 (14 years ago)
Document Number: L07000008109
FEI/EIN Number 208306243
Address: 8705 PERIMETER PARK BLVD. SUITE #6, JACKSONVILLE, FL, 32216
Mail Address: 8705 PERIMETER PARK BLVD. SUITE #6, JACKSONVILLE, FL, 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801085725 2007-10-16 2007-11-15 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 322166353, US 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 322166353, US

Contacts
Phone +1 904-997-1349
Fax 9049971369

Authorized person
Name DR. ANDREA BROWN SHAW
Role OWNWE
Phone 9049971349

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH8019
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAW CHIROPRACTIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 208306243 2024-04-04 SHAW CHIROPRACTIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 208306243 2023-05-03 SHAW CHIROPRACTIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 208306243 2022-03-30 SHAW CHIROPRACTIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 208306243 2021-05-19 SHAW CHIROPRACTIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 208306243 2020-04-15 SHAW CHIROPRACTIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2020-04-15
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401 K PROFIT SHARING PLAN TRUST 2018 208306243 2019-07-06 SHAW CHIROPRACTIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2019-07-06
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401 K PROFIT SHARING PLAN TRUST 2017 208306243 2018-05-03 SHAW CHIROPRACTIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2018-05-03
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401 K PROFIT SHARING PLAN TRUST 2016 208306243 2017-05-15 SHAW CHIROPRACTIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing CHAD P SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401 K PROFIT SHARING PLAN TRUST 2015 208306243 2016-06-28 SHAW CHIROPRACTIC LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature
SHAW CHIROPRACTIC LLC 401 K PROFIT SHARING PLAN TRUST 2014 208306243 2015-06-03 SHAW CHIROPRACTIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 812990
Sponsor’s telephone number 9049971349
Plan sponsor’s address 8705 PERIMETER PARK BLVD STE 6, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing CHAD SHAW
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAW CHAD P Agent 8705 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Manager

Name Role Address
SHAW CHAD P Manager 8705 PERIMETER PARK BLVD #6, JACKSONVILLE, FL, 32216
SHAW ANDREA B Manager 8705 PERIMETER PARK BLVD #6, JACKSONVILLE, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G07142900247 SHAW CHIROPRACTIC, LLC ACTIVE 2007-05-22 2027-12-31 No data 8705 PERIMETER PARK BLVD #6, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-03-15 No data No data
REGISTERED AGENT NAME CHANGED 2011-03-15 SHAW, CHAD P No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-15 8705 PERIMETER PARK BLVD, #6, JACKSONVILLE, FL 32216 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2007-05-25 8705 PERIMETER PARK BLVD. SUITE #6, JACKSONVILLE, FL 32216 No data
CHANGE OF MAILING ADDRESS 2007-05-25 8705 PERIMETER PARK BLVD. SUITE #6, JACKSONVILLE, FL 32216 No data

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-02-12
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-01-07

Related by officers

SHAW CHAD P

NEIGHBORS OF CHRISTOPHER POINT INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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